US7900806B2 - Circular stapler with an automatic safety mechanism - Google Patents
Circular stapler with an automatic safety mechanism Download PDFInfo
- Publication number
- US7900806B2 US7900806B2 US12/097,252 US9725206A US7900806B2 US 7900806 B2 US7900806 B2 US 7900806B2 US 9725206 A US9725206 A US 9725206A US 7900806 B2 US7900806 B2 US 7900806B2
- Authority
- US
- United States
- Prior art keywords
- handle
- stapler
- stopper
- safety
- rod
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/11—Surgical instruments, devices or methods, e.g. tourniquets for performing anastomosis; Buttons for anastomosis
- A61B17/115—Staplers for performing anastomosis in a single operation
- A61B17/1155—Circular staplers comprising a plurality of staples
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/037—Automatic limiting or abutting means, e.g. for safety with a frangible part, e.g. by reduced diameter
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0814—Preventing re-use
Definitions
- the present invention relates to a surgical stapler used in surgery operations, more particularly, to a circular stapler with an automatic safety mechanism, which is in the technical field of medical instruments.
- a surgical stapler is a kind of medical instrument which is commonly used in surgery operations for intestinal or other tissue, the performance of the surgical stapler is very important to the success of whole surgery operation.
- a safety device is generally disposed on the surgical stapler in order to avoid mis-actuating. In prior art, most safety devices on circular staplers are operated manually, that is, when a doctor performs a surgery operation on a patient, the doctor does not release the safety device to perform actuations until he has already finished all the preparation works.
- this kind of safety device has deficiencies identified in practice: if the doctor is less experienced, he may release the safety device to perform actuations in surgery operations even though the stapling distance is not in the right range, which leads to unwanted surgery operation results; or if the safety device is forgotten to be locked when replacing the stapler head assembly, it is very likely to grip the actuator trigger, accordingly the staples are shot out of the stapler head assembly, which leads to the failure of the surgery operation; some doctors may give a second actuation so as to avoid incomplete actuating, which results in tissue to be clamped into pieces. Therefore, the “safety device” and “device preventing second actuation” on this kind of stapler have become a research focus for people.
- U.S. Pat. No. 5,193,731 disclosed a rotatable safety device disposed on an adjusting knob and U.S. Pat. No. 5,350,104 disclosed a safety device which is pivotally connected with a stapler body; both of the above mentioned staplers require the doctor to release the safety device manually when reaching the actuatable position.
- Chinese patent no. 99229088 disclosed an automatic safety device which is complex in assembling with too many parts and it is very difficult to get reset after being released;
- Chinese patent no. 99227301 disclosed a safety device by a safety rod propping against a screw rod, but the screw rod can be easily bent with this configuration.
- Chinese patent no. 98121969 disclosed a safety device which can be automatically reset by a spring to prevent second actuation, which has deficiencies that: the spring is disposed outside the stapler body which increases the risk of clamping tissues, similarly the safety device props against the screw rod which can easily cause the screw rod bent. Due to the above mentioned reasons, according to the applicant's knowledge, —currently used staples in practice are not equipped with proper safety device to prevent the second actuation.
- the invention is aimed at solving the problems of prior art surgical staplers by providing a circular stapler with an automatic safety mechanism, of which the safety mechanism can be operated automatically without manual operations thus improving safety and reliability to the surgery operations.
- a circular stapler with an automatic safety mechanism comprises a stapler body, a stapler head, an actuating mechanism and a transmission adjusting mechanism, wherein the actuating mechanism comprises a handle and a handle coat, the handle is connected with the handle coat and is pivotally connected with the stapler body, the transmission adjusting mechanism comprises a screw rod and an adjusting knob, the front end of the screw rod is connected with an anvil pulling rod while its rear end is connected with the adjusting knob by means of screw threads, wherein a stopper is disposed either inside said handle or said handle coat; a safety rod and a pulling sheet are further provided, the safety rod has a safety block on one end and has a second protruding block and a pin hole as its middle portion, a cylindrical pin is inserted into the pin hole so as to get the safety rod to be pivotally connected with the stapler body; the pulling sheet has a rear portion mounted on the screw rod and has a pulling hook at its front portion, the pulling hook hooks with second protruding block which is the middle portion of the
- the front portion of said pulling sheet is divided longitudinally into at least three plates, and the pulling hook is the front portion of the middle plate; a first protruding block is disposed on the handle, when the handle is gripped, the first protruding block props against and pushes away said middle plate, thereby said pulling hook is disengaged from the second protruding block which is the middle portion of the safety rod.
- the front portion of said pulling sheet is particularly divided into three plates, and the pulling hook is the front portion of the middle plate, the two side plates are respectively disposed in guide slots of the stapler body; and the middle portion of said screw rod has a small diameter portion.
- the stopper is disposed inside the handle, said stopper and said handle are made into an integral; or, the stopper and the handle are separate parts with said stopper fixed on the two side walls of the handle.
- the stopper is disposed inside the handle coat, said stopper and said handle coat are made into an integral; or, the stopper and the handle coat are separate parts with said stopper fixed on two side walls of said handle coat.
- the stopper is a block part or a pin.
- handle and the handle coat are two separate parts, or they are made into an integral.
- the stapler of the present invention has automatic safety protection function and prevents a second actuation, because the present invention provides a safety rod and a pulling sheet, wherein the pulling sheet works collaborately with the first protruding block and a stopper which are disposed on the handle and the handle coat.
- the stapler of the present invention is simple in structure, has good practicality, has fewer parts and is easily assembled.
- the safety block of the safety rod props against the stopper on or in the handle or handle coat so that the stapler can not be actuated, which provides an automatic safety protection; in the process of use, the safety rod rotates clockwise because of the pulling force from the pulling hook, when reaching the actuatable position, the safety block is automatically disengaged from the stopper, so that the doctor is able to perform the surgery operation immediately, it is more conveniently; then release the handle when finishing the actuation, the safety block of the safety rod is automatically return to against the stopper, this time, the pulling sheet is already disengaged from the second protruding block which is the middle portion of the safety rod, which prevents the stapler from a second actuation.
- FIG. 1 is a schematic view showing the outline of a circular stapler with an automatic safety mechanism of the present invention
- FIG. 2 is a cross-sectional view showing part of the stapler in initial state
- FIG. 3 is a cross-sectional view showing part of the stapler when reaching the actuatable position
- FIG. 4 is a cross-sectional view showing part of the stapler when the handle is gripped for actuation
- FIG. 5 is a perspective view of the handle of the stapler
- FIG. 6 is a two-dimensional structural view of the handle of the stapler
- FIG. 7 is a perspective view of the handle coat of the stapler
- FIG. 8 is a longitudinal cross-sectional view of the handle coat of the stapler
- FIG. 9 is another perspective view of the handle of the stapler.
- FIG. 10 is another perspective view of the handle of the stapler
- FIG. 11 a is a front view of the stopper of the handle shown in FIG. 10 ;
- FIG. 11 b is a perspective view of the stopper of the handle shown in FIG. 10 ;
- FIG. 12 is a perspective view of the pulling sheet of the stapler
- FIG. 13 is a perspective view of the safety rod of the stapler
- FIG. 14 is a two-dimensional structural view showing the screw rod of the stapler
- 1 denotes a handle
- 2 denotes a handle coat
- 3 denotes a safety rod
- 4 denotes a screw rod
- 5 denotes a pulling sheet
- 6 denotes an adjusting knob
- 7 denotes a first protruding block
- 8 denotes a stopper
- 9 denotes a rear portion of the pulling sheet
- 10 denotes a pulling hook
- 11 a/b denote two side plates at the front of the pulling sheet
- 12 denotes a pointer
- 13 denotes a safety block
- 14 denotes a second protruding block
- 15 denotes a small diameter portion.
- a circular stapler with an automatic safety mechanism comprises a stapler body, a stapler head, an actuating mechanism and a transmission adjusting mechanism; wherein the actuating mechanism comprises a handle 1 and a handle coat 2 , the handle 1 is connected with the handle coat 2 and is pivotally connected with the stapler body; the transmission adjusting mechanism comprises a screw rod 4 and an adjusting knob 6 , a front end of the screw rod 4 is connected with an anvil pulling rod while its rear end is connected with the adjusting knob 6 by means of screw threads.
- a restoring spring is disposed between the handle 1 and the stapler body, which keeps the handle 1 in an opening status all the time until the handle 1 is gripped.
- a stopper 8 is disposed inside the handle coat 2 , as illustrated in FIGS. 7 and 8 .
- a safety rod 3 and a pulling sheet 5 are further provided, the safety rod 3 has a safety block 13 on one end and a pointer 12 on the other end, the pointer 12 could be viewed from an indicator window which is disposed at a corresponding place of the stapler body.
- the safety rod 3 has a second protruding block 14 and a pin hole on its middle portion. A cylindrical pin is inserted into the pin hole so as to get the safety rod 3 to be pivotally connected with the stapler body.
- a restoring spring is provided so as to connect the safety rod 3 with the stapler body, the restoring spring is disposed at the connection place of the safety rod 3 and on the side where the pointer 12 is located, the safety rod 3 is driven by the spring to get reset by rotating anticlockwise around the cylindrical pin which connects the spring with the stapler body, so that the safety block 13 props against the stopper 8 which is disposed inside the handle coat 2 in the initial state and in the final state that finished firing and released the handle 1 .
- the pulling sheet 5 has a rear portion 9 mounted on the screw rod 4 and has a pulling hook 10 on its front portion, the pulling hook 10 hooks with the second protruding block 14 which is the middle portion of the safety rod 3 .
- the front portion of said pulling sheet 5 is divided into three plates, and the pulling hook 10 is the front end of the middle plate, the other two side plates 11 a and 11 b are respectively disposed in guide slots of the stapler body.
- a first protruding block 7 is disposed on the handle 1 , when the handle 1 is gripped, the first protruding block 7 props against and pushes away said middle plate, thereby the pulling hook 10 is disengaged from the second protruding block 14 which is middle portion of the safety rod 3 .
- the safety block 13 which is one end of the safety rod 3 props against with the stopper 8 which is disposed inside the handle coat 2 , so that the handle 1 and the handle coat 2 can not be gripped as illustrated in FIG.
- the handle 1 gets reset to the initial state by the force from the restoring spring, also by the force from the restoring spring connecting with the safety rod 3 rotates anticlockwise to the initial place, that is, the place of automatic safety mechanism opened, at this time, the pulling sheet 5 can not pull the safety rod 3 , so that the handle 1 can not be gripped, which prevents the second actuation.
- the middle part of said screw rod 4 is preferably to be a small diameter portion 15 , thereby enough movement space is made in the middle of the pulling sheet 5 , and the pulling sheet 5 is driven to move by the force from the first protruding block 7 of the handle 1 so as to ensure the pulling hook 10 to disengage completely from the second protruding block 14 which is the middle portion of the safety rod 3 .
- the above mentioned embodiment is the stopper 8 disposed inside the handle coat 2 (as illustrated in FIGS. 7 and 8 ), besides, the stopper 8 can be disposed directly inside the handle 1 .
- the stopper 8 can be formed by punching the side walls of handle 1 inwardly, so that the stopper 8 and the handle 1 are made into an integral as illustrated in FIG. 9 ; or the stopper 8 and the handle 1 are two separate parts, the stopper 8 is fixed inside the handle 1 by means of two pins (alternatively, a non-cylinder shaped pin can be adopted for fixation) as illustrated in FIGS. 10 , 11 a and 11 b .
- the stopper 8 can be a block part or to be made directly into a pin inserted on the two side walls of the handle.
- the handle 1 and the handle coat 2 are separate parts, the handle 1 is normally made from metal material and the handle coat 2 is made from synthetic materials of polymer, the handle 1 and the handle coat 2 are assembled together when they are made ready. Also, the handle 1 and the handle 2 can be made into an integral so as to have fewer parts.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Portable Nailing Machines And Staplers (AREA)
- Surgical Instruments (AREA)
Abstract
Description
Claims (11)
Applications Claiming Priority (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN200520139728.9 | 2005-12-14 | ||
CN200520139728U | 2005-12-14 | ||
CNU2005201397289U CN2868208Y (en) | 2005-12-14 | 2005-12-14 | Tubular binding instrument having automatic safety unit |
PCT/CN2006/003068 WO2007068181A1 (en) | 2005-12-14 | 2006-11-15 | A tubular stapler with an automatic safety mechanism |
Publications (2)
Publication Number | Publication Date |
---|---|
US20100059571A1 US20100059571A1 (en) | 2010-03-11 |
US7900806B2 true US7900806B2 (en) | 2011-03-08 |
Family
ID=37723136
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US12/097,252 Active 2027-05-27 US7900806B2 (en) | 2005-12-14 | 2006-11-15 | Circular stapler with an automatic safety mechanism |
Country Status (5)
Country | Link |
---|---|
US (1) | US7900806B2 (en) |
EP (1) | EP1964523B1 (en) |
JP (1) | JP3148464U (en) |
CN (1) | CN2868208Y (en) |
WO (1) | WO2007068181A1 (en) |
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US8281974B2 (en) | 2009-01-14 | 2012-10-09 | Tyco Healthcare, Group LP | Surgical stapler with suture locator |
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US20120292368A1 (en) * | 2011-05-19 | 2012-11-22 | Ethicon Endo-Surgery, Inc. | Circular stapler with automatic locking mechanism |
US8424535B2 (en) | 2008-11-06 | 2013-04-23 | Covidien Lp | Circular surgical stapler with mating anvil and shell assembly |
US8708212B2 (en) | 2011-10-18 | 2014-04-29 | Covidien Lp | Tilt top anvil with torsion spring |
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US9010605B2 (en) | 2012-01-12 | 2015-04-21 | Covidien Lp | Sliding sleeve for circular stapling instrument reloads |
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Also Published As
Publication number | Publication date |
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JP3148464U (en) | 2009-02-19 |
US20100059571A1 (en) | 2010-03-11 |
EP1964523A4 (en) | 2013-05-29 |
EP1964523B1 (en) | 2017-03-29 |
WO2007068181A1 (en) | 2007-06-21 |
EP1964523A1 (en) | 2008-09-03 |
CN2868208Y (en) | 2007-02-14 |
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